IndividualActive
Jeff Panik
NPI 1194406785 · Prevention Professional · Cleveland, OH
Provider details
- NPI number
- 1194406785
- Entity type
- Individual
- Primary specialty
- Prevention ProfessionalOther Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- OCPSA.161672 (OH)
Specialties & taxonomies
Other Service Providers
Practice location
3631 Perkins Ave Ste 2aw
Cleveland, OH 44114-4702
Phone: (216) 881-0330
Approximate (ZIP-level) locationGet directions
Mailing address
3631 Perkins Ave Ste 2aw
Cleveland, OH 44114-4702
Registry dates
- Enumerated
- 2023-07-27
- Last updated
- 2023-07-27
- Certified
- 2023-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.